Claims consultant

Youll be based at our head office in Sandton, Johannesburg. Youll report to the Team Leader: Claims

Assessing responsible for Claims.

Relevant tertiary qualification; a medical degree preferable

Your Outputs (include but is not limited to): Evaluate claims forms and supporting documentation in preparation of making an payment decision Gathering information and various types of reports from medical practitioners Compare the reorts to our exisitng claims criteria to establish if claim is payable Decide on levels of provisions to be raised based on information received Writing claims assessment standards/policies Auditing/QA of work done by peers Determine requirments / documents required to evaluate claims Liase with relevant re-insurers to determine validity of claims and get their approvals where required Explain and communicate final decisions to brokers and clients Create schedules for payments and obtain relevant approvals Your experience: Minimum 2-3 year...